Commonwealth Aged Care Reforms

Contents Drivers for Commonwealth Aged Care Reforms My Aged Care and Regional Assessment Services (RAS) – from 1 July 2015 Commonwealth Home and Community Care (HACC) Transition to Commonwealth Home Support Programme (CHSP ) NSW ACATs transition to My Aged Care by the end of 2015

Drivers for Commonwealth Aged Care reforms 4 Increasing demands on aged care system & workforce Increased demands from people with complex needs Increased number of people living with chronic diseases Growing and ageing population Increasingly fragmented, complex system Expansion in separately funded home support programs Societal changes Rising consumer expectations

Commonwealth objectives Australian Government vision is that by 2022 Australia’s aged care system will: Be sustainable and affordable, long into the future Provide diverse and rewarding career options Encourage aged care businesses to invest and grow Offer greater choice, with control in the hands of consumers Support people to stay at home, and part of their communities, for as long as possible 5 NSW Health is working with the Commonwealth to implement Aged Care reforms, organising aged and community care services for older people that better meet their changing needs

NDIS Full implementation 1 Jul 2018 NSW CCSP funding extended by AHDC Hunter Pilot site transition complete and their NSW CCSP funding ceases 30 Jun 2016 CHSP contracts end Transition of Commonwealth HACC Program to CHSP Full functionality rollout of My Aged Care Gateway 1 Jul 2015 NSW CCSP transition to NDIS complete 30 Jun Jun 2017 HACC program ceased Commonwealth HACC Program 65+ commenced 1 Jul 2012 Contracts for Commonwealth HACC devolved to LHDs Hunter Pilot site transition to NDIS commences 1 Jan Jul 2013 Timeline of HACC/CCSP transition > 65years HACC/CHSP $80M approx. < 65years CCSP/NDIS $20M approx. HACC Program ceased; NSW CCSP <65 commenced NSW CCSP contracts devolved to LHDs 1 Jul 2012 New CHSP Contracts 1 Nov 2015

My Aged Care Gateway MyAgedCare National Contact Centre am-8pm (Monday to Friday) 10am-2pm (Saturdays)

What is My Aged Care? My Aged Care is a national gateway commencing from 1 July It will provide a single entry point for access to Commonwealth funded aged care services My Aged Care has 3 online portals: for clients and carers, assessors and service providers My Aged Care aims to: Provide a standardised national approach from screening through to comprehensive aged care assessments Centralise all registration and screening Introduce and maintain a central Client Record Simplify and streamline client assessment Match and refer clients for appropriate services 8

My Aged Care benefits for clients Identifiable entry point providing timely and reliable information on aged care A central client record, accessible by assessors, service providers and clients Simplified and standardised aged care needs assessment Support to locate and access appropriate services My Aged Care Website My Aged Care Contact Centre Client Record National Screening & Assessment Form Service Finders National Screening & Assessment Form Regional Assessment Services (RAS) ACATs Electronic Referrals Action/ Support Plan Action/ Support Plan

My Aged Care impacts for NSW Health What will change for NSW Health front-line staff? New clients referred through My Aged Care Different referral pathways Maintenance of the central Client Record Determine My Aged Care or existing referral pathways for clients 10

My Aged Care Assessment & Service Referral Pathways ASSESSMENTMATCH & REFER TO SERVICES Inbound Referral My Aged Care Contact Centre -Registration -Screening Service Planning & Delivery Regional Assessment Service (RAS) – Home Support Assessment Home Support Program Basic level / Low intensity home support services Wellness / reablement focus Residential Aged Care Permanent placement Respite placement (low/high) Complex multiple needs Home Care Packages Complex multiple care needs Levels 1 and 2 Levels 3 and 4 Transitional Aged Care Aged Care Assessment Team (ACAT) – Comprehensive Assessment

National Screening and Assessment Form (NSAF) Commenced by My Aged Care contact centre during registration and screening Holistic Restorative philosophy underpins assessment Assessment building on information collected at screening, with appropriate questions at each level of assessment Previously collected information displayed so clients do not have to repeat their story Built in algorithms will assist to identify client needs, goals & preferences in a support plan

NSAF

Assessment and Referral Pathways (RAS and ACATs) A single referral pathway through My Aged Care by 31 December 2015: Regional Assessment Services (RAS) to commence 1 July 2015 ACAT referral and assessment services to transition on 2 November 2015 Some LHD referral pathways will remain unchanged i.e. Compacks, post-acute nursing, CCSP 14

What is the Regional Assessment Service (RAS)? A national assessment workforce, operating regionally across Australia (except Vic and WA) NSW Health one of 13 agencies operating RAS Face-to-face assessment of clients with reablement focus Matching and referral of assessed clients to appropriate CHSP service Benefit: streamlined referrals process. One assessment for multiple client services

Commonwealth Home Support Programme (CHSP) The Commonwealth Home Support Programme (CHSP) will bring together the following programs: HACC National Respite for Carers Program Day Therapy Centres Program Assistance with Care and Housing for the Aged Program Introduction of a nationally-consistent fees policy Underpinned by a restorative care approach (wellness and reablement) and consumer directed care Sector support and development – with operational guidance from NSW Health 16

HACC transition to CHSP 17 Community and Home Support Objective To provide entry-level support services to assist older people to live independently at home and in the community Target Group Frail, older people aged 65 years and over (or 50 years and over for Aboriginal and Torres Strait Islander people) who need assistance with daily living to remain living independently at home and in the community Service types funded Meals Other food services Transport Domestic assistance Personal care Home maintenance Home modifications Social support – individual Social support – group (formerly Centre-Based Day Care) Nursing Allied Health and Therapy Services Goods, Equipment and Assistive technology

CHSP impacts for NSW Health What will change for NSW Health front-line staff? Referrals for your service will now come through My Aged Care electronically Service provision will continue, except for case management, assessment, and care coordination services Regional Assessment Services (RAS) will now provide short term case management, assessment and care coordination services. What will continue for LHDs? Continued delivery of services under CHSP Funding continuity until 30 June

Full functionality rollout of RAS and My Aged Care 1 Jul 2015 Timeline of RAS/ACAT transition to My Aged Care My Aged Care website and contact centre established NSW ACATs use accept/reject process in My Aged Care 1 July 2013 NSW ACATs use full functionality of My Aged Care 30 Jun 2016 Current ACAP contract ceases 2 Nov 2015 Current RAS contract ceases

ACAT transition to My Aged Care Key Transition Steps for ACATsACAT Activity My Aged Care – Accept /Reject Process starts 1 July 2015 Continue business as usual Inbound referrals accepted from My Aged Care as well as other referral sources My Aged Care – Full Functionality will commence by the end of 2015 All clients will be referred through My Aged Care ACATs will commence using full My Aged Care functionality

My Aged Care Website: Commonwealth Home Support Programme Website: Home Care Packages Website: Quality Indicators- Pilot in residential care KPMG – Free call General Aged Care Information DSS Website: Information: Further Information - DSS

Further Information – NSW Health The NSW Ministry of Health (MoH) is working closely with LHDs to support and prepare for the implementation of My Aged Care and the transition to the CHSP on 1 July 2015 A new NSW Health Aged Care website will be updated frequently with information on the Aged Care changes, impacts for LHDs, FAQs, DSS fact sheets, tools and resources. Check the ‘What’s New’ tab for updates: For information on local implementation and processes in your LHD contact your HACC Transition Manager or Aged Care Contact – available on the NSW Health website 22